Medical Assistant Center
Resume:
EDITHA MOSCOSO
*********@*****.*** / *************@*****.***
Murrieta CA 92563
Telephone No. 949-***-****
OBJECTIVE:
I am looking for a position that is near my area and I am an individual with enough experience looking for a job position in a company with a dynamic work environment so I can use my qualifications, experience and interpersonal skills for the benefit of the company, contributes to the growth of the organization and will work in the best of my abilities.
WORK EXPERIENCE:
Paul H. Turek, D.C.
Chiropractic Inc.
27462 Portola Pkwy Suite 201
Foothill Ranch CA 92610
Tel No. 949-***-****
Office Position: Patient Billing Coordinator
Date(s) of Employment: July 1, 2004 to current
Mission Hospital Regional Medical Center
St. Joseph Heritage
27700 Medical Center Road
Mission Viejo CA 92691
HR Tel No. 949-***-**** ext 4252
Office Position: Registrar Front Desk
Department: Outpatient Rehab Services
Date(s) of Employment: April 10, 2017 to March 1, 2022
Reason for Leaving: Moved to our retirement home in Murrieta (gift from our son).
Building Blocks Pediatrics
Newport Beach CA
Office Position: Medical Billing & Collections Supervisor
Date(s) of Employment: 2002 to November 2003
Reason for Leaving: Company Closed due to Bankruptcy
Monarch Healthcare
11 Technology Drive
Irvine, CA 92618
Office Position: Claims Examiner
Date(s) of Employment: 2001 (6 months)
Reason for Leaving: Found a better opportunity with Building Blocks Pediatrics
Mission Viejo Urgent Care
Mission Viejo, California
Office Position: Part-time Temp Medical Assistant / X-ray Technician
Date(s) of Employment: 2001 to 2002
Reason for Leaving: Found a Fulltime Position with Building Blocks Pediatrics
UCLA Podiatry Plaza
University Drive
Westwood California
Office Position: Medical Assistant/X-ray Technician
Date(s) of Employment: 1995 to 2001
Reason for Leaving: Relocate to Orange County
Duties and Responsibilities:
Prepares and submits clean claims to various insurance companies either
electronically or by paper
Answers questions from patients, clerical staff and insurance companies
Identifies and resolves patient billing complaints
Prepares, reviews and sends patient statements
Evaluates patient’s financial status and establishes budget payment plans
Prepares information for the small claims court collection for delinquent accounts
Performs various collection actions including contacting patients by phone,
correcting and resubmitting claims to third party payers
Process payments from insurance companies and prepares a daily deposit
Handles account payables and account receivables
Appointment scheduling, answers phones
Compiles and bills attorney hours to clients every month.
Reviews and edits pre-bills in response to attorney and secretary requests.
Ability to handle a high volume of bills per month.
Ability to effectively interact and communicate with attorneys, secretaries, and patients
Review and verify accuracy of billing and supporting documentation as required.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Research and respond to inquiries regarding billing issues and problems.
Creates and distributes monthly stat reports.
Handles the verification of eligibility and health benefits
Ability to process Physical Injury and Worker’s Comp cases
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Does A/R accounts
Report overpayments, underpayments, and other irregularities.
Request for Authorization visits or extensions to all health insurance companies
Knowledge of PPO, EPO, HMO, PGBA, POS, HRA, FSA accounts
Knowledge of CPT codes and ICD-10 codes
Able to manage pre-registration of New Patients (walk-in & phone calls), check eligibility, authorization and benefits
Schedule multiple appointments for PT (Lymphatic, Pelvic Floor), OT, ST
Ensures that all data is entered accurately for all demographic patient and insurance information
Completes all documentation and scan all other documents including their photo ID, insurance card and authorization
Maintains the productivity and accuracy of continuing care treatments to patients by doing the recalls and follow-up visits they needed
Organize & prepare all insurance and patients check bank deposit
Provides excellent communication skills by explaining to patients the policies and procedures in regards to the upcoming appointments of their treatments
Experiences as Medical Assistant:
Taking Patient Vital Signs
Taking Medical Histories
Preparing Patients for Medical Tests and Examinations
Assisting Physicians During Examinations and Surgeries
Explaining Medical Procedures to Patients
Sterilizing Medical Instruments
Removing Sutures
Calling Prescriptions in to Pharmacies
Preparing Patients for X-Rays
Administering Topical, Oral, or Intramuscular Medications
Qualifications include:
Proven ability to perform strategic planning and priority setting for a billing department
Proven track record for improving process efficiencies and solving problems
Strong leadership skills with an ability to motivate direct reports
Detail oriented with a slight accounting background
Excellent communication skills both written and verbal, and internal personal skills
Excellent analytical and problem solving skills
Ability to manage multiple problems and prepares appeal letters concurrently
A Good Team Player
Skills:
Knowledge of medical billing/collection practices.
Knowledge of computer programs.
Knowledge of business office procedures.
Knowledge of basic medical coding
Ability to operate a computer and basic office equipment.
Ability to operate a multi-line telephone system.
Skill in answering a telephone in a pleasant and helpful manner.
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients,
employees and the public.
Must be well organized and detail-oriented.
EDUCATIONAL BACKGROUND:
Technological School of X-rays
North Hollywood, California
Radiology Tech & Medical Asst
California State Licensed Limited Radiology Technician 1993-1995
San Diego State University
B.S. Microbiology 1983-1985
University of the Philippines Diliman
College of Industrial Pharmacy 1979-1983
National University
College of Pharmacy 1977-1979
PROFESSIONAL REFERENCE:
Mary Gonzalez- United Healthcare Group Manager
(949) 887- 9035
Yudith Paz Carrion - Co-worker (Dr Turek)
Karla Rodriguez- Co-worker (Dr Turek)
Maricel Almazan- Co-worker (Mission Hospital)
Tel No. 714-***-****
Aimee Didion- Payroll Coordinator (Dr Turek)
Samantha Fankhauser- Co-worker (Dr Turek)
Laura Stewart- Co-worker (Mission Hospital)
Michelle Darrow- Outpatient Rehab Manager (Mission Hospital)
Catherine McCoy- Outpatient Rehab Supervisor (Mission Hospital)
Contact this candidate